OK everything I thought I knew just got thrown out the Window. I turn off UAC on all my computers. I had assumed that is why, when I right clicked on a icon and "Run As Administrator" it wouldn't pop up and ask for credentials. It essentially wouldn't do anything different.
That obviously isn't the case. The problem child is Outlook 2013. I have the properties of the icon set as Run As Administrator, UAC is turned on and I right click on Run As Administrator yet it doesn't ask me for credentials and it doesn't run as administrator. How do you get the Run As Administrator to actually work?
The problem is with attachments in Outlook 2013. Since this user is not an administrator of the local computer it always asks what they want to do when they double click on an attachment (open or save) because the "Always ask before opening this type of file" is checked and greyed out. When I do actually make them an administrator of the local computer the check mark becomes editable and I can turn it off. Run as Administrator doesn't give them this option.
I guess the real question is what is the Run As Administrator for and how do you get it to work?